Individual
GINA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
330 BROOKLINE AVE # REISMAN9, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
32 SAMOSET AVE, QUINCY, MA 02169-2324
(508) 245-1550
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
RN260003
MA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN260003
MA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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